Patrizio, Glen R
Patrizio, Glen R is an sole proprietor health care provider with primary practice located at 1625 Woods Ct Ste 102 , Hood River OR 97031-2919. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Patrizio, Glen R can be contacted via phone (541) 436-2960.Contact Information
Primary practice address
1625 Woods Ct Ste 102
Hood River OR 97031-2919
Phone: (541) 436-2960
Fax: (541) 436-2961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | MD24391 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD24391 | Oregon |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | MD60191672 | Washington |
Profile Details
| NPI number | 1962484592 |
|---|---|
| LBN Legal business name | Patrizio, Glen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 9th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962484592 | NPPES |
| Oregon | MEDICAID | 227266 |
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